Healthcare Provider Details
I. General information
NPI: 1770654410
Provider Name (Legal Business Name): CONSUMERHEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1718 W ORANGETHORPE AVE SUITE 240
FULLERTON CA
92831-5241
US
IV. Provider business mailing address
100 SPECTRUM CENTER DRIVE SUITE 1500
IRVINE CA
92618
US
V. Phone/Fax
- Phone: 714-525-3855
- Fax: 714-526-2029
- Phone: 714-578-6358
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LORILEE
SCHMIDT
Title or Position: PRESIDENT
Credential:
Phone: 714-578-6358